CLC Breastfeeding Equipment & Milk Expression 3

Question 1

Which statement about hand expression of breast milk is most accurate?

Accepted Answer

Hand expression can be more effective than a pump in the first days postpartum when colostrum volume is small

Answer

Hand expression is only appropriate when no pump is available

Answer

Pumping always removes more milk than hand expression

Answer

Hand expression should only be taught after milk comes in on day 3–4

Question 2

What is the correct hand expression technique (Marmet technique) sequence?

Accepted Answer

Position fingers at edge of areola, compress, and roll fingers toward nipple without sliding on skin

Answer

Squeeze the nipple directly between thumb and forefinger

Answer

Apply firm circular pressure around the whole breast before compression

Answer

Press the breast flat against the chest wall, then pull outward

Question 3

A pasteurized donor milk bank in the US must be accredited by which organization?

Accepted Answer

Human Milk Banking Association of North America (HMBANA)

Answer

American Academy of Pediatrics (AAP)

Answer

La Leche League International (LLLI)

Answer

United States Lactation Consultant Association (USLCA)

Question 4

Which infant population has the highest clinical priority for receiving pasteurized donor human milk when mother's own milk is unavailable?

Accepted Answer

Premature and low birth weight infants in the NICU

Answer

Term infants whose mothers are temporarily separated

Answer

Healthy term infants whose mothers choose not to breastfeed

Answer

Toddlers being weaned from the breast

Question 5

When a mother is using a breast pump at work, which environmental factor most significantly impacts milk output?

Accepted Answer

Stress and lack of privacy reducing oxytocin release

Answer

Room temperature being too cold

Answer

Fluorescent lighting in the pumping room

Answer

Distance from the pump to the workplace

Question 6

A mother asks how to combine breast milk expressed at different times before storing. The CLC should advise:

Accepted Answer

Cool each freshly expressed milk separately in the refrigerator before combining, then store

Answer

Combine warm freshly expressed milk directly with refrigerated or frozen milk

Answer

Never combine milk from different expression sessions

Answer

Combine milks only if expressed within the same hour